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General NPI Number Information
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NPI Number | 1881948073
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Entity Type | Organization
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Legal Business Name | CENTRAL OHIO UROLOGY SURGERY CENTER, LLC
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 701 TECH CENTER DR STE 200
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City | GAHANNA
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State | OH
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Zip | 43230-1987
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Country | US
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Telephone | 614-396-2684
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Fax |
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Provider Business Mailing Address
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Address Line | 701 TECH CENTER DR
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City | GAHANNA
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State | OH
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Zip | 43230-1987
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Country | US
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Telephone | 614-396-2684
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Fax |
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Authorized Official
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Title or Position | CNO
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Name | AMANDA LEWIS
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Credential |
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Telephone | 614-396-8684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | OH
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